Free Medical Advice Related to Laparoscopic Surgery

DUMPING SYNDROME FROM VAGOTOMY AND PYLOROPLASTY OP
Discussion in 'All Categories' started by NEVILLE STRINGER - Mar 2nd, 2013 4:43 pm.
NEVILLE STRINGER
NEVILLE STRINGER
I had this op 33 years ago and thou I suffer with pain and diarrhoea I try to not let the condition control me.I would love someone to answer this question for me. when taking vitamins, supplements or medications they are usually coated or are contained in a gel like shell capsule to protect them as they enter the stomach, when i swallow these do they have to brake down their barrier in the stomach acid to be effective further along the digestive tract, I am asking this because I am assuming that my stomach does not produce enough acid to remove the coating or brake down the capsule shell and also the tablet will travel much quicker through my digestive tract therefore will my system absorb and benefit from the contents of tablet, if not how can i work around this.
re: DUMPING SYNDROME FROM VAGOTOMY AND PYLOROPLASTY OP by Dr J S Chowhan - Mar 4th, 2013 8:18 am
#1
Dr J S Chowhan
Dr J S Chowhan
DEAR NEVILLE STRINGER

Coated capsule are not good for bypass patient as it absorbed across the intestinal wall as a solid. It must first dissolve in the fluid of the G-I tract. Tablets for bypass patient capsule are carefully formulated, designed, to stay together in the bottle during transport but break up quickly once they are in an aqueous environment. Normal patient pH of the stomach pouch is as high as 6.8, so most medications need to be crushed to enhance dissolution Medications in bypass patient. Capsule Should be crushed or liquid form for 3- 8 weeks after surgery. Pills should not be larger than the diameter of a pencil tip eraser, if it the size of a thumbnail or more, it will require, splitting, crushing, opening of capsules or grinding depending on the formulation. No sustained release or enteric coated products should be given to bypass patient. To minimize dumping syndrome, avoid products, including OTC with sucrose, corn syrup, lactose, maltose, fructose, honey and mannitol.

Avoid sustained release or enteric coated drugs. Long absorptive drugs (SR, ER) are absorbed over 2-12 hour. Pass through the GI before absorption is complete. Substitute with immediate release drugs and increase the frequency.

Roux-en-Y bypass reduces the surface area. Villi and microvilli of small intestine (SI) have greater surface area than the large intestine. Bypass duodenum and jejunum. Digoxin absorption may be affected.

Please keep in touch with dietitian.

With regard

JS Chowhan
Post Reply
Name *
Email * Will be hidden from visitors
Your Picture * Limit 2Mb please
 *
Enter verification code Simple catpcha image
*
* - required fields
 

 

Get Free Postoperative Advice

Laparoscopic Surgery Training

If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum

Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.

The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.

World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.

In case of any problem in asking free medical advice please contact | RSS

World Laparoscopy Hospital, Cyber City, Gurugram, NCR Delhi, 122002, India

All Inquiries

Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788



Need Help? Chat with us
Click one of our representatives below
Nidhi
Hospital Representative
I'm Online
×